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Association Between Renal and Right Cardiac Functions After Urinary Sodium Depletion Following Cardiac Surgery

Recruiting
Conditions
Cardiorenal Syndrome
Registration Number
NCT03684876
Lead Sponsor
Centre Hospitalier Universitaire, Amiens
Brief Summary

Following cardiac surgery, right ventricular function may be altered leading to increase central venous pressure and decrease in renal blood flow. The investigator's standard care includes use of diuretic to avoid interstitial fluid accumulation. The aim of the study is to assess cardiac and renal function before and after depletion by using diuretics

Detailed Description

The study will compare cardiac and renal data before and 6 hours after use of diuretic

* Echocardiographic measure of right function (S wave, TAPSE, ventricle surfaces, inferior vena cava diameter) and left function (LVEF, cardiac output

* Renal function: cumulative diuresis, creatinine level variation and incidence of acute kidney injury using KDIGO classification (creatinine level\>26.5 or diuresis\<0.05 ml kg-1 h-1)

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria

patient undergoing elective cardiac surgery under cardiopulmonary bypass

Exclusion Criteria
  • heart transplantation
  • use of vasopressor
  • chronic renal disease (DGF under 30 ml min-1)
  • endocarditis
  • patient under ECLS or CPIA
  • patient under 18-year-old

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
change in renal glomerular filtration before and 6 hours after use of diurecticat baseline (o hours) and 6 hours after use of diuretic

change in renal glomerular filtration before and 6 hours after use of diurectic

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

CHU Amiens Picardie

🇫🇷

Amiens, France

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